Microductectomy under local anaesthetic for pathological nipple discharge. Is it time to change practice?

Microductectomy conducted under local anaesthesia without sedation appears to be a safe, effective, and feasible method for managing PND. It benefits resource-limited settings by decreasing reliance on general anaesthesia while preserving diagnostic and therapeutic efficacy. Further prospective studies with larger sample sizes incorporating patient satisfaction, procedure duration, diagnostic yield, recurrence rates, and completeness of excision are advised to evaluate long-term outcomes and patient experiences.